Sonographically guided extraction of a submucous myoma

Area of Science:

• Reproductive medicine
• Minimally invasive surgery
• Medical imaging

Background:

• Submucous myomas can cause significant symptoms and complications.
• Surgical options for myoma removal during pregnancy are limited.
• Minimally invasive techniques are sought to reduce patient morbidity.

Observation:

• A 5-cm symptomatic submucous myoma was identified.
• The myoma was removed transvaginally under ultrasonographic guidance.
• This was performed during a second-trimester pregnancy termination.

Findings:

• The myomectomy procedure was rapid and well tolerated.
• Intraoperative sonography facilitated precise myoma localization and removal.
• Successful removal of a large submucous myoma was achieved.

Implications:

• Intraoperative sonography may offer a transvaginal alternative to laparotomy for submucous myoma treatment.
• This technique could be beneficial in pregnant patients requiring myomectomy.
• Further research can explore the broader application of sonographically guided myomectomy.